Abstract
Serine protease inhibitor clade E member 1 (SERPINE1) inhibits extracellular matrix proteolysis and cell detachment. However, SERPINE1 expression also promotes tumor progression and plays a crucial role in metastasis. Here, we solve this apparent paradox and report that Serpine1 mRNA per se, independent of its protein-coding function, confers mesenchymal properties to the cell, promoting migration, invasiveness, and resistance to anoikis and increasing glycolytic activity by sequestering miRNAs. Expression of Serpine1 mRNA upregulates the expression of the TRA2B splicing factor without affecting its mRNA levels. Through transcriptional profiling, we found that Serpine1 mRNA expression downregulates through TRA2B the expression of genes involved in the immune response. Analysis of human colon tumor samples showed an inverse correlation between SERPINE1 mRNA expression and CD8+ T cell infiltration, unveiling the potential value of SERPINE1 mRNA as a promising therapeutic target for colon tumors.
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Introduction
During the Epithelial-Mesenchymal Transition (EMT) process, cells undergo reversible phenotypic changes, losing their epithelial characteristics and acquiring attributes of mesenchymal cells. In this process, apical-basolateral polarity is lost, cell-cell junctions are disrupted, the actin cytoskeleton is extensively reorganized, and the cells acquire mesenchymal characteristics, including a migratory and invasive phenotype [1, 2]. EMT is essential for embryonic development and wound healing and has been associated with pathological processes such as organ fibrosis and cancer progression [3].
Transcriptional regulation is widely recognized as the primary level of regulation of EMT. However, it is increasingly evident that EMT is a complex biological process orchestrated by multiple layers of regulation. Post-transcriptional mechanisms, such as regulation by alternative pre-mRNA splicing and regulation by miRNAs, provide additional layers of complexity to the gene regulation during EMT. Alternative splicing (AS) produces different protein isoforms that orchestrate essential aspects of the EMT process, including cell-cell contacts, polarity, and cytoskeleton organization. These AS events are coordinately regulated by specific alternative splicing factors. While ESRP1 and ESRP2 are fundamental to establishing an epithelial-specific splicing program, RBFOX2 and MBNL1 are essential contributors to the mesenchymal splicing signatures [4, 5]. MicroRNAs (miRNAs) are small non-coding RNAs that post-transcriptionally regulate gene expression [6]. RNA polymerase II initially transcribes them as longer transcripts known as pri-miRNAs. They are processed in the nucleus by the RNase III nuclease Drosha into ∼70 nt pre-miRNAs and processed in the cytoplasm by Dicer nuclease into miRNA duplexes of 18-24 nt. One of the strands of the mature miRNA called the guide strand, associates with the Argonaute2 (AGO2) protein and guides the RNA-induced silencing complex (RISC) to the target transcript, inducing its translational repression or mRNA degradation [7]. Crosslinking and immunoprecipitation (CLIP) methods [8] have identified AGO binding sites at a transcriptome-wide scale, generating context-dependent AGO binding maps. As a result of recent technological advances, parameters that determine miRNA‐mediated gene regulation and readouts (such as mRNA abundance) can now be measured with high resolution. These have provided the opportunity to study quantitatively, using computational models, how the interplay of regulators and targets gives rise to the observed gene expression patterns. In this work, we have studied the EMT post-transcriptional regulation by analyzing and quantifying the RNAs enriched in the RISC complex at the early stages of the EMT process.
Here, we show that the most enriched RNA in the RISC complex during the EMT process is the Serpine1 mRNA. Paradoxically, this mRNA is strongly transcribed from the start of the EMT process [9]. SERPINE1 inhibits fibrinolysis by blocking tissue plasminogen activator (tPA) and urokinase (uPA), which deactivate plasminogen-induced extracellular matrix degradation [10]. In addition, SERPINE1 binds to vitronectin, stabilizing it, and interferes with the binding of integrins to vitronectin, affecting cell migration [11,12,13]. Previous research has mainly concentrated on the function of SERPINE1 in thrombogenesis. Recent research has shown that a high SERPINE1 concentration is a bad prognostic factor in lung, neuroblastoma, breast, gastric, and colorectal cancers [14,15,16,17,18,19]. Interestingly, high SERPINE1 expression has been shown to enhance cell migration and apoptosis resistance in head and neck carcinoma patients, which may explain the association between high SERPINE1 expression and poor outcomes in these patients [20]. On the other hand, down-regulation of SERPINE1 in nasopharyngeal carcinoma has been associated with reduced metastasis [21]. Furthermore, cocultured metastatic melanoma and triple-negative breast cancer cells with species-homologous platelets displayed more robust capabilities for cell migration, invasion, and colony formation in vitro and also tumor growth and metastasis in vivo. Transcriptomic analysis showed that co-cultured cancer cells had high levels of SERPINE1. Knockdown of Serpine1 reversed cancer cells’ survival and metastatic abilities [22]. SERPINE1 expression would be expected to have a protective effect against tumor dissemination by inhibiting extracellular matrix proteolysis and cell detachment. However, most of the studies conducted to date reveal that SERPINE1 has a paradoxical effect on cancer, promoting tumor progression, increasing the risk of metastasis, and supporting a multifunctional role for Serpine1.
Here, we present data that could explain this apparent Serpine1 paradox. We demonstrate in a mouse mammary gland cell line (NMuMG) that Serpine1 mRNA acts as a non-coding RNA, sequestering miRNAs, impeding their repressive activity, and causing phenotypic effects hitherto associated with SERPINE1 protein. We also show that the Serpine1 mRNA downregulates, through the TRA2B splicing factor, the expression of genes primarily associated with the immune response. Furthermore, our study reveals an inverse association between human SERPINE1 mRNA expression and the presence of CD8+ T cells in colon adenocarcinomas, bringing about the inhibition of SERPINE1 mRNA as a valuable therapeutic strategy to increase T cell infiltration in colon tumors.
Results
Serpine1 mRNA is enriched in the RISC complex during TGF-β-mediated EMT
RNA-induced silencing complex (RISC) is a basic eukaryotic cellular machinery that plays a pivotal role in post-transcriptional gene regulation. AGO2 protein is an essential component of the RISC and directly binds miRNAs. We hypothesized that increased or decreased RNAs early in the RISC complex during EMT could represent putative EMT regulators. We used NMuMG cells as a model system [1] to identify and quantify the RNA changes in the RISC complex during EMT. This non-transformed mouse mammary epithelial cell line performs a robust and reproducible TGF-β-induced transition from an epithelial to a mesenchymal state. Cells were treated with TGF-β for 4 and 48 h, UV-crosslinked, and the RISC complex was coimmunoprecipitated using antibodies against AGO2. RNAs from the RISC complex were isolated in triplicates and subjected to deep sequencing (iCLIP-seq). Given the close correlation between the replicates (Supplementary Fig. S1), the reads of the three experiments were merged. Approximately 3.99 million sequenced RNA tags from three libraries of untreated cells, 4.98 million tags from three libraries of 4 h-TGF-β-treated cells, and 3.89 million tags from three libraries of 48 h-TGF-β-treated cells were processed and mapped to the mouse genome. The results showed that the AGO2 protein binds mainly to exons and 3’ UTRs regions, with the percentage of unions to these regions very similar, indicating that miRNA binding sites in coding sequence (CDS) are widespread and almost as common as in 3’UTRs (Fig. 1A). The crosslinking sites and the corresponding reads of each of the RNAs bound to AGO2 in each condition were identified using the PureCLIP software [2] (Supplementary Tables S1 and S2). We focused on RNAs that are most enriched in the RISC complex after 4 hours of treatment with TGF-β, which could be involved in the post-transcriptional regulation of EMT. Serpine1 mRNA was the most differentially RISC complex-associated mRNA after 4 hours of treatment with TGF-β (Fig. 1B and Table 1). This mRNA also showed the most significant increase in crosslinking sites, going from 2 sites in untreated cells to 34 in TGF-β-treated cells (Table 2; Fig. 1C, Supplementary Fig. S2, and Supplementary Table S3).
Serpine1 mRNA confers mesenchymal characteristics
Transcription of the Serpine1 gene is strongly and rapidly induced in TGF-β-treated cells. After 4 h of TGF-β treatment, Serpine1 mRNA levels increased 11-fold, detecting the presence of SERPINE1 protein; however, paradoxically, the amount of Serpine1 RNA in the RISC complex increased 11.5-fold as well (Fig. 2 and Supplementary Tables S2 and S4) indicating that Serpine1 mRNA could exert a non-coding biological function, in addition to encoding SERPINE1 protein. We postulated that Serpine1 mRNA may act as a natural miRNAs sponge, dampening the EMT inhibitor activity of miRNAs. To determine whether Serpine1 mRNA can operate as a competitive endogenous RNA (ceRNA), stable NMuMG cell lines were generated overexpressing Serpine1 mRNA (Serpine1wt) and Serpine1 mRNA mutated at four ATGs (Serpine1ATG*) to prevent its translation, two of them corresponding to the translation start site (TSS), and the other ones located at 800 bp from the TSS (Fig. 3A). Levels of Serpine1 mRNA in the generated cell lines were similar; however, overexpression of SERPINE1 protein was only found in Serpine1wt cells (Fig. 3B, C). We compared the migratory and invasive abilities in the generated cell lines and observed greater migratory and invasive abilities in Serpine1wt cells compared to the control cells. These abilities were even increased in Serpine1ATG* cells (Fig. 3D–G and Supplementary Movie S1). Comparable proliferative capacities of cells were observed, ruling out that the enhanced migratory capacity and invasiveness were due to differences in the proliferative capacity of these cells (Supplementary Fig. S3). EMT is crucial for epithelial-derived cells to acquire anoikis resistance [3]. The apoptotic cells were quantified in Serpine1ATG* and Serpine1wt cells growing in the presence of methylcellulose and on Poly-HEMA-coated plated to prevent both adherence among them and their adherence to plastic, thereby eliciting anoikis. Serpine1ATG* and Serpine1wt cells had greater resistance to anoikis than control cells (Fig. 3H). Because a link between an increased glycolytic metabolism and the epithelial-mesenchymal transition has been established [4], we measured the glycolytic activity in the control, Serpine1ATG* and Serpine1wt cells using the Seahorse Analyzer, and we found that the upregulation of Serpine1ATG* mRNA significantly increases basal and compensatory glycolysis (Fig. 3I). Altogether, these results indicate that the overexpression per se of mRNA Serpine1 confers mesenchymal characteristics to NMuMG cells.
Serpine1 mRNA increased TRA2B protein level without affecting Tra2b mRNA expression level
iCLIP results were analyzed, and sequences corresponding to crosslinked sites were obtained to identify Serpine1-associated miRNAs. These sequences comprised 20 bp upstream and 20 bp downstream of the crosslinking site. Once these sequences were determined, 31 were selected because they were specific to TGF-β treatment; that is, they did not overlap with any other sequence corresponding to the control conditions (Supplementary Table S5). One hundred eighty-nine miRNAs seed sequences were contained in the selected sequences according to the miRBase database (https://www.mirbase.org/) (Supplementary Table S6). Thus, after four h of treatment with TGF-β, Serpine1 mRNA was the AGO2-associated transcript with the highest abundance of miRNA seeds per kb of the transcriptome (Supplementary Fig. S4). Nine of these seed sequences were selected (Table 3) after discarding those miRNAs that were absent or minimally represented in NMuMG cells [5]. To determine the proteins whose expression levels were affected by the expression of Serpine1 mRNA, we performed mass spectrometry and analyzed the proteomic profile of Serpine1ATG* and RelControl cells. A total of 18 proteins were found to be significantly increased by Serpine1ATG* expression (Fig. 4A). The increased expression level of proteins TRA2B, ADH7, and PGM1 was confirmed by western blot (Fig. 4B, C). Likewise, it was determined that these genes were not affected transcriptionally by Serpine1ATG* overexpression (Fig. 4D). We focused on the TRA2B splicing factor due to its relevance in tumorigenesis and metastasis [6, 7]. A time course of mRNA Tra2b expression after TGF-β treatment showed that Tra2b mRNA levels were hardly affected (Fig. 4E); however, TRA2B protein levels increased significantly after two hours of treatment, confirming its rapid post-transcriptional regulation (Fig. 4F, G). Serpine1-depleted cells were generated by CRISPR-Cas9 technology to verify that the increase of TRA2B protein level was an effect of Serpine1 mRNA. NMuMG cells were edited by CRISPR using two pairs of single guide RNAs (sgRNAs) located in the promoter and second exon of Serpine1, respectively, obtaining a deletion of 2941 bp (Supplementary Fig. S5A, B). Complete inhibition of Serpine1 mRNA was achieved in homozygous clones (Clones 2 and 6) even after TGF-β treatment, as shown by qPCR analysis (Supplementary Fig. S5C, D). TRA2B protein levels were not affected in Serpine1-depleted cells after TGF-β treatment for the short or long term (Fig. 4F, G), indicating the relevant role of Serpine1 mRNA in the post-transcriptional regulation of Tra2b.
It should also be noted that the Tra2b, Adh7, and Pgm1 mRNA levels did not show significant changes in Serpine1-depleted cells compared to RelControl cells (Fig. 4H). However, TRA2B, ADH7, and TRA2B protein levels were significantly increased in Serpine1-depleted cells by expression of Serpine1ATG* (Fig. 4I, J). Serpine1-depleted cells also showed a notably lower migratory capacity than Relcontrol cells (Supplementary Fig. 6A, B and Supplementary Movie S2). However, this migratory capacity increased when Serpine1wt or Serpine1ATG* were overexpressed (Supplementary Fig. 6C and D and Supplementary Movie S3). Collectively, these results emphasized that Serpine1 mRNA acts per se as a post-transcriptional regulator in addition to encoding the SERPINE1 protein.
Serpine1 mRNA sequesters miR-130b-5p to regulate the expression of TRA2B splicing factor
The binding sites of the selected miRNAs that interact with the Serpine1 mRNA are all present in the Tra2b mRNA sequence. Three constructs were generated in the pSINDUAL lentiviral vector to determine which of them could be involved in the post-transcriptional regulation of Tra2b; one of them, Serpine1ATG*Ex*, contained mutated binding sites located in the exons (miR-93-3p, miR-130b-5p, miR-296-3p, and miR-210-5p), another construct, Serpine1ATG*3’UTR*, had mutated binding sites located in the 3’UTR region (miR-130b-5p (2 binding sites), miR-30b-3p, miR-128-3p and miR-301/e/d-3p), and another one, Serpine1ATG*All*, contained mutated all binding sites (Fig. 5A). The overexpression of the three constructs decreased the expression levels of the TRA2B protein (Fig. 5B). We focused on miR-130b-5p, which had three binding sites in the Serpine1 mRNA, one in exon three and two in the 3’UTR region. Cells overexpressing Serpine1 mRNA with the mutated miR-130b-5p sites showed markedly lower levels of TRA2B protein, indicating that this miRNA was involved in the post-transcriptional regulation of Tra2b (Fig. 5C).
Serpine1 mRNA and TRA2B protein expression downregulate genes involved in the immune response
Since the TRA2B splicing factor expression level was increased by Serpine1 RNA overexpression, we analyzed and compared the alternative splicing events produced by these two conditions. The overexpression of the Serpine1 mRNA and TRA2B protein induced 16 and 21 differential events of AS, respectively (Supplementary Tables S7 and S8). Three of these events, affecting the genes Adar1, Parp11, and the Phf11d/Phf11c/Setdb2 precursor transcript, were common and were validated by RT-qPCR. Two isoforms of Adar1 were detected, increasing the isoform that excluded exons 2 and 3. In the case of Parp11, the isoform that excluded exon1 was enriched, and in the case of the Phf11d/Phf11c/Setdb2 precursor RNA, the short isoform lacking exons 27 to 38, which corresponds to the Phf11d gene, was enriched (Fig. 5D, E). We next reasoned that analysis and comparison of global gene expression patterns in Serpine1- and Tra2b-overexpressing cells could reveal further clues toward elucidating their function. RNA-seq analysis examined the global gene expression profile of RelControl, Serpine1ATG*, and Tra2b-overexpressing cells (Supplementary Tables S9 and S10). 13 upregulated and 158 downregulated genes were identified with a P < 0.05 and a fold change (FC) > 2.0 in the Serpine1ATG* cells compared to RelControl cells. In Tra2b-overexpressing cells, 86 upregulated and 268 downregulated genes were identified compared to RelControl cells (Fig. 5F). Analysis of the downregulated genes showed that 98% of the genes downregulated by Serpine1ATG* overexpression were also downregulated by Tra2b overexpression (Fig. 5G), suggesting that most of the changes produced by the expression of Serpine1 mRNA were carried out through the splicing factor TRA2B. To further confirm the role of splicing factor TRA2B as a downstream effector of Serpine1 mRNA overexpression, we used Tra2b-DsiRNA and control-DsiRNA. We determined the expression levels of 8 downregulated selected genes in Serpine1ATG*-expressing cells. We found expression partial reversion of the selected genes Oasl2, Gbp5, Ifit3, Ifnb1, Cxcl10, Ccl5, Ifih1 and Stat1 in Tra2B-DsiRNA compared to DsiRNA-control cells (Fig. 5H). Increased expression levels of TRA2B protein and downregulation of the selected genes were also confirmed in immortalized human epithelial cell line hTERT RPE1 expressing Serpine1 mRNA (Supplementary Fig. S7A, B). Gene ontology of genes downregulated by mRNA Serpine1 and TRA2B expression showed an outstanding enrichment in the regulation of innate immune response, type I interferon signaling pathway, response to interferon beta, interferon-gamma-mediated signaling pathway and antigen processing, and presentation of peptide antigen via MHC class I. Similar results were found in KEGG and Reactome enrichment analyses (Fig. 5I and Supplementary Tables S9 and S10).
High levels of SERPINE1 mRNA correlate with low levels of T cell infiltration in colon adenocarcinomas
Bioinformatics tools have provided a preliminary understanding of SERPINE1 expression and prognosis in different tumors. According to a pan-cancer data set of TGCA, expression levels of SERPINE1 mRNA were significantly increased (p < 0.001) in breast invasive carcinoma (BRCA), colon adenocarcinoma (COAD), stomach adenocarcinoma (STAD), glioblastoma multiforme (GBM), kidney renal clear cell carcinoma (KIRC), and head and neck squamous cell carcinoma (HNSC). However, SERPINE1 mRNA expression was significantly lower in Kidney chromophobe (KICH), Liver hepatocellular carcinoma (LIHC), and Skin cutaneous melanoma (SKCM) compared with adjacent normal tissues (Supplementary Fig. 8A). Paradoxically, SERPINE1 protein levels were not associated with SERPINE1 mRNA levels in some tumors such as COAD, where protein levels were even lower in tumor tissue than in adjacent normal tissue (Supplementary Fig. 8B and Fig. 6A, B) [8, 9]. Therefore, this tumor’s significantly poorer survival associated with high SERPINE1 levels (Supplementary Fig. 8C) could be attributed to elevated mRNA SERPINE1 levels and the downregulation of immune response-associated genes. We used the TIMER2.0 database [10] to investigate the correlation in COAD between SERPINE1 expression and B cells, CD8+ T cells, CD4 + T cells, macrophages, and neutrophils infiltrations levels. CD8+ and CD4 + T cells show an inverse correlation with SERPINE1 mRNA levels (R = −0.325, P < 0.001. and R = −0.161, P < 0.01 respectively), and B cells, macrophages, and neutrophils a positive correlation (R = 0.127, P < 0.05, R = 0.522, P < 0.001 and R = 0.137, P < 0.05 respectively) (Fig. 6C). Given the critical role of CD8+ T cells in immune-mediated tumor rejection and as a prognosis factor in many solid tumors, we next determined, using RT-qPCR analysis, the levels of SERPINE1 and CD8A, a cell surface receptor found on cytotoxic T lymphocytes, in 20 surgical COAD specimens. A matched scatter plot revealed a consistent inverse correlation between SERPINE1 and CD8A mRNA expression levels (R = −0.555, P < 0.011), in concordance with results obtained from the tumor immune estimation resource (Fig. 6D). Likewise, inverse correlation (R = −0.490, P < 0.024) was also found between levels of SERPINE1 and CD3D mRNA, a marker for total lymphocytes (Fig. 6E). SERPINE1 mRNA levels and the number of infiltrated lymphocytes were also analyzed in COAD surgical samples by SERPINE1 mRNA in situ hybridization and CD8A protein immunofluorescence (Fig. 6F), confirming the inverse correlation determined by RT-qPCR analysis.
Discussion
In this work, we have studied the post-transcriptional regulation of EMT by analyzing RNAs associated with the RISC complex early. The most enriched RNA in the RISC complex was the Serpine1 mRNA, which paradoxically is one of the strongly induced mRNAs at the beginning of the EMT process. This study demonstrates that Serpine1 mRNA exhibits a non-coding function in EMT by sequestering miRNAs, unlocking the translation of different mRNAs, in addition to encoding the SERPINE1 protein.
Analysis of iCLIPseq data from cells treated with TGF-β for 4 and 48 h revealed enrichment of numerous RNAs (mRNAs and lncRNAs) in the RISC complex, suggesting their potential role as miRNAs sponges. This additional post-transcriptional gene regulation mechanism may be common in other biological processes [11, 12]. The distribution of iCLIPseq reads was very similar in the conditions analyzed. We also observed that the interaction between the RNAs and the RISC complex occurs mainly and in very similar proportions in the coding and 3’UTR regions. This suggests that miRNA binding sites in coding regions are more widespread than previously considered and nearly as prevalent as in 3’UTRs. This finding supports the hypothesis that the coding regions may contain additional information besides the amino acid sequence of the encoded protein [13, 14].
Serpine1 mRNA expression was studied by mutating two contiguous ATG codons at the TSS and two other adjacent codons 800 nt downstream of the TSS to prevent its translation. The expression of Serpine1 mRNA conferred mesenchymal characteristics to the cells, such as increased migratory and invasive capacity, resistance to anoikis, and increased glycolytic activity. These abilities have been associated with SERPINE1 protein overexpression [15,16,17]. Our study underlines the importance of dissecting the effects of the mRNA molecule per se and not only those due to the encoded protein. In many studies that correlate the expression of the Serpine1 gene with tumorigenesis, the methodology used does not differentiate between the effects caused by the mRNA and the protein [18, 19]. As transcriptomes are easier to quantify than proteomes, mRNA abundance is often used as a proxy for protein abundance. However, large-scale studies in humans and model organisms have shown that there is only a moderate correlation between mRNA and protein levels for most genes [20, 21]. It is important to note that most studies on tumors consider mRNA levels and not protein levels. Analysis of SERPINE1 protein levels in 20 different tumor types collected in The Human Protein Atlas database reveals that protein levels are undetectable or extremely low. The UALCAN platform enables the analysis of protein levels in various tumors through the CPTAC application (Clinical Proteomic Tumor Analysis Consortium). According to the platform, breast, colon, ovarian, and lung tumors that express high levels of SERPINE1 mRNA do not show significant changes in SERPINE1 protein levels in tumor tissue and adjacent normal tissue. This suggests that the tumorigenic capacity of SERPINE1 mRNA is, at least in large part, associated with its non-coding function. However, in tumors such as head and neck carcinoma, kidney renal clear cell carcinoma, and glioblastoma with high levels of both mRNA Serpine1 and protein SERPINE1, both could contribute to the migration, invasiveness, and resistance to anoikis of the tumor cell through different mechanisms.
In cells overexpressing Serpine1 RNA, TRA2B is one of the proteins that markedly increases its expression level without affecting Tra2b mRNA levels. TGFβ treatment of Serpine1-depleted cells confirmed that the increase in TRA2B depends on Serpine1 mRNA expression. miR-130b-5p regulates Tra2b post-transcriptionally through three interaction sites: one in the coding region and two in the 3’UTR region. Several cancers, including breast, cervical, ovarian, and colon, show an increase in TRA2B protein levels [6]. TRA2B upregulation is associated with invasive breast cancer, and medium to high TRA2B expression correlates with a poorer prognosis [7, 22]. The molecular mechanisms through which TRA2B levels are altered in tumors remain poorly unknown. Besides TRA2B gene amplification [23], increased levels of the ETS-1 and c-MYC transcription factors have been proposed as possible mechanisms to explain TRA2B upregulation in cancer cells [7, 24]. Our findings add another potential mechanism by which TRA2B protein levels would increase in tumors overexpressing SERPINE1 mRNA without being TRA2B gene transcriptionally affected. Furthermore, we demonstrate that expression of Serpine1 and Tra2b produce very similar gene expression changes, with 98% of genes downregulated by Serpine1 being downregulated by Tra2b. Since the downregulation of genes by Serpine1 expression was reversed by lowering Tra2b levels, we conclude that most of the expression changes caused by Serpine1 depend on Tra2b.
According to the EPIC (Estimating the Proportions of Immune and Cancer cells) immune deconvolution method, SERPINE1 mRNA expression negatively correlates with CD8+ T cell infiltration level in diverse cancer types. In agreement with these data, we show that mRNA levels of SERPINE1 inversely correlate with the levels of specific lymphocyte markers CD8A and CD3 in surgical samples of colon tumors. The inverse correlation was also observed by combining in situ hybridization of mRNA SERPINE1 and immunofluorescence of the lymphocyte marker CD8A. The immune system plays a crucial role in the eradication of tumor cells. Notably, the presence of tumor-infiltrating lymphocytes is associated with favorable long-term outcomes in ovarian cancer [25, 26], colon cancer [27], and most other solid tumor types [28]. Several studies have found a strong correlation between the expression of CCL5 and CXCL10 in tumors and the infiltration of CD8+ T lymphocytes in different types of cancer, such as colorectal cancer [29, 30], melanoma [31], and esophageal squamous cell carcinoma [32]. Here, we show that the expression of Serpine1 and Tra2β downregulates the expression of the chemokines Ccl5 and Cxcl10, as well as the expression of the genes Mad5, Zap, Rig1, and Zbp1, which act as cytosolic sensors of nucleic acids, and the major histocompatibility complex class I (MHC-I) molecules H2-K1 and H2-K2. After forming protein-nucleic acid complexes, DNA and RNA sensor molecules recruit and activate TANK-binding kinases-1 (TBK1) and interferon regulatory factors (IRFs), which finally initiate the transcription of IFN-1 and inflammatory cytokines [33,34,35]. Furthermore, one primary mechanism through which solid tumors can avoid anti-tumor immunity is the downregulation of MHC-I, which causes reduced recognition by CD8+ T-cells [36, 37]. According to the EPIC (Estimating the Proportions of Immune and Cancer cells) immune deconvolution method, SERPINE1 mRNA expression negatively correlates with CD8+ T cell infiltration level in diverse cancer types. In agreement with these data, we show that mRNA levels of SERPINE1 inversely correlate with the levels of specific lymphocyte markers CD8A and CD3 in surgical samples of colon tumors. The inverse correlation was also observed by combining in situ hybridization of mRNA SERPINE1 and immunofluorescence of the lymphocyte marker CD8A. The immune system plays a crucial role in the elimination of tumor cells. Notably, the presence of tumor-infiltrating lymphocytes is associated with favorable long-term outcomes in ovarian cancer [25, 26], colon cancer [27], and most other solid tumor types [28]. Several studies have found a strong correlation between the expression of CCL5 and CXCL10 in tumors and the infiltration of CD8+ T lymphocytes in different types of cancer, such as colorectal cancer [29, 30], melanoma [31], and esophageal squamous cell carcinoma [32]. Here, we show that the expression of Serpine1 and Tra2b downregulates the expression of the chemokines Ccl5 and Cxcl10, as well as the expression of the proteins MAD5, ZAP, RIG1, and ZBP1, which act as cytosolic sensors of nucleic acids, and the major histocompatibility complex class I (MHC-I) molecules H2-K1 and H2-K2. After forming protein-nucleic acid complexes, DNA and RNA sensor molecules recruit and activate TANK-binding kinases-1 (TBK1) and interferon regulatory factors (IRFs), which finally initiate the transcription of IFN-1 and inflammatory cytokines [33,34,35]. Furthermore, one primary mechanism through which solid tumors can avoid antitumor immunity is the downregulation of MHC-I, which causes reduced recognition by CD8+ T-cells [36, 37]. Therefore, the downregulation of these factors, caused by Serpine1 and Tra2b expression, would lead to fewer CD8+ T cells in tumors, promoting immune evasion.
SERPINE1 is an essential element of the fibrinolytic system, acting as an anti-fibrinolytic molecule in the normal coagulation process, blocking extracellular matrix degradation and tissue remodeling. This function suggests that it may have an antitumorigenic function. However, SERPINE1 has a paradoxical pro-tumorigenic role, promoting tumor cell survival and metastasis. Small molecules and antibodies inhibitors against SERPINE1, originally developed as antithrombotic agents, have shown efficacy in models of acute thrombosis by promoting rapid thrombus re-permeabilization [38, 39]. However, there is no evidence that inhibition of SERPINE1 could have any therapeutic effect in tumor treatment [40,41,42]. The data presented here is the first clear evidence that a protein-coding gene, Serpine1, operates largely independently of its protein-coding function as a competing endogenous RNA conferring mesenchymal features to the cell. As a non-coding RNA, it sequesters miR-130b-5p, canceling the repressive activity of this miRNA on Tra2b mRNA and downregulating genes involved in the immune response. This dual function of SERPINE1 mRNA clarifies the paradox between the expected antitumor effect of SERPINE1 as a serine protease inhibitor and the pro-tumorigenic effect of SERPINE1 reported by numerous clinical studies. Hence, additional studies on the regulation and function of SERPINE1 in cancer may provide insight into the molecular mechanisms of tumorigenesis as well as provide therapeutic targets that may help in the treatment of cancer.
Materials and methods
Cell culture
Normal Mouse Mammary Gland NMuMG epithelial cells were grown in DMEM supplemented with 10% fetal bovine serum FBS), 2 mM L-glutamine, 1% penicillin-streptomycin (Sigma-Aldrich, St Louis, MO, USA), and 10 µg/mL insulin (Sigma). Immortalized human retinal pigment epithelial cells hTer-RPE1 (Clontech, Mountain View, CA, USA) were maintained in DMEM/F12 supplemented with 10% FBS, 2 mM L-glutamine, and 1% penicillin-streptomycin (Sigma). Cells were grown at 37 °C under a humidified atmosphere with 5% CO2.
Antibodies and reagents
The following antibodies were used in our study: anti-TRA2B (Santa Cruz; sc166829), anti-PGM1 (Invitrogen; PA5-55008), anti-ADH7 (Invitrogen; PA5-97437), anti-mouse Serpine1 (R&D Systems; AF3828), anti-human Serpine1 (ThermoFisher, #66261-1-IG), anti-CD8A (Sigma-Aldrich, HPA037756), anti-AGO2 (Wako Chemicals; clone 2D4, # 018-22021). TGF-β was purchased from PeproTech (London, UK).
Transfections, lentivirus production, and infection assays
For lentiviral production, 2.8 × 106 HEK293T cells were seeded onto a 10-cm Petri dish and transfected with Lipofectamine 2000 (Invitrogen, Life Technologies, Karlsruhe, Germany) using 15 µg of the transfer vectors pHRSIN-DUAL with 10 and 5 µg of the HIV packaging plasmids pCMVDR8.91 and pVSVG respectively. Lentiviruses were harvested 48 h post-transfection, passed through a 0.45-µm filter, and concentrated by ultracentrifugation at 100,000 g for 90 min. Virus particles were resuspended in serum-free DMEM and stored at −80 °C. Titers of pHRSIN-DUAL lentiviral particles were determined by flow cytometry of NMuMG-infected cells. For ectopic expression of Serpine1 (with the different mutations), NMuMG cells were infected with lentiviral supernatants (MOI 2) containing 4 µg/mL polybrene. The dual-promoter lentivector pHRSIN-DUAL (also known as pHRSIN-CSGWdINotI_pUb_Em) was kindly provided by Mary K. Collins (Queen Mary’s Blizard Institute, London).
RNA interference
A TriFECTa DsiRNA kit (mm.Ri.Tra2b.13) containing one non-targeting control DsiRNA (DS NC1), one transfection control DsiRNA (TYE 563DS), one positive control DsiRNA (HPRT-S1 DS) and three DsiRNA targeting Tra2b mRNA (mm.Ri.Tra2b.13.1, mm.Ri.Tra2b.13.2, mm.Ri.Tra2b.13.3) were purchased from Integrated DNA Technologies (IDT). The Tra2b targeting sequences are shown in Supplementary Table S11. Cells were transfected with RNA duplexes using Viromer (Lipocalix, Halle, Sachsen‐Anhalt, Germany) following the manufacturer’s protocol TriFECTa DsiRNA Kit.
RNA isolation, and real-time PCR analysis
Total RNA was isolated using the TRIzol reagent according to the manufacturer’s instructions (Invitrogen). Total RNA was treated with Turbo DNase (Ambion) and reverse transcribed using a mix of oligo(dT)20 and random hexamers and SuperScript III reverse transcriptase (Invitrogen). Real-time quantitative PCR (qPCR) was performed using iTaq Universal SYBR Green Supermix (Bio-RAD) and analyzed on an Applied Biosystems 7500 Fast-Real-Time PCR System. Expression levels were normalized to HPRT levels. For RNA isolation from tumor samples, frozen samples were cut into small pieces and placed in TRIzol Reagent (Invitrogen). Next, they were mechanically homogenized using a Pro250 homogenizer (PROScientific, Oxford, CT, USA). Total RNA was extracted according to the manufacturer’s instructions.
CRISPR–Cas9-mediated genetic cell engineering
The Alt-R CRISPR-Cas9 System (IDT) was used to generate Serpine1-depleted NMuMG cells, according to the manufacturer’s protocol. Upstream and downstream guides were designed within (−600/−500 bp) and (+1000/+1100) of the TSS. Guide sequences are listed in Supplementary Table S11. Successfully transfected cells were sorted by fluorescent-activated cell sorting (FACS) and individually distributed into 96-well plates. After 10–14 days, cells were plated into two separate 96-well flat-bottom plates. One was kept to allow clones to grow, and the other was to screen each clone for the designed deletion. Genomic DNA was isolated using the Purelink Genomic DNA Kit (Invitrogen) according to the manufacturer’s protocol. Deletions were analyzed by PCR, and deletions amplicons were sequenced to identify the precise deletion. RNA was isolated from monoallelic and biallelic deletion clones and analyzed by RT-qPCR to quantify the Serpine1 mRNA expression.
RNA-seq analysis
Total RNA was isolated using TRIzol (Invitrogen) and depleted of DNA by DNase treatment (TURBO DNase, Invitrogen). Libraries were prepared with the TruSeq Stranded mRNA kit (Illumina, San Diego, CA, USA) and sequencing was performed with a Novaseq system (Illumina) with 75 bp single-end reads with the Genomic Unit of CABIMER (Sevilla, Spain). Two biological replicates for each condition were sequenced. Reads were aligned to mouse genomes (GRCh38/hg38) using the subjunc function from the Rsubread package. The downstream analysis was performed on .bam files with duplicates removed using the samtools (v0.1.19) rmdup command. Differential gene expression analysis and statistics were performed using the DESeq2 Bioconductor. Differentially expressed genes with p-adjusted values < 0.05 and Log2FC > 0.5 (upregulated genes) or Log2FC < −0.5 (downregulated genes) were selected for further analysis. Gene ontology (GO) functional categories were analyzed using DAVID Bioinformatics Resources. Non-adjusted p values were used to determine the enrichment significance.
iCLIP
iCLIP was performed as described [43]. NMuMG cells were subjected to 100 mJ/cm2 of UV-C irradiation to covalently crosslink proteins to nucleic acids, in vivo. RNase I (1:160) was used to partially fragment RNA during cell lysis. AGO2–RNA complexes were immunopurified using an immobilized antibody on immunoglobulin G–coated magnetic beads. RNAs were then ligated to an RNA adapter at their 3’ ends and radioactively labeled for visualization purposes. Denaturing gel electrophoresis was performed to remove RNAs not covalently linked to the protein, then transferred to a nitrocellulose membrane. RNA was recovered from the membrane through proteinase K digestion. Reverse transcription oligonucleotides were designed to have two inversely oriented adapter regions separated by a BamHI restriction site and a barcode region to mark the experiment and the individual cDNA molecules at their 5’ ends. The cDNA molecules were size-purified using denaturing gel electrophoresis, circularized, and cut between the two adapter regions by BamHI. The linearized cDNAs were then PCR-amplified using primers complementary to the adapter regions and were subjected to high-throughput sequencing. The oligonucleotide sequences are listed in Supplementary Table S11.
iCLIP bioinformatics analysis
For iCLIP-seq analysis, first reads from the three independent experiments were filtered using the FASTQ Toolkit program. Then, reads were aligned to the mouse transcriptome using the gencode.vM1.annotation.gtf for mm9. Transcripts were filtered to use only the longest transcripts as described [44]. Getfasta from Bedtools was used to obtain the longest FASTA format transcripts. Reads were then aligned to transcripts using con bowtie (v 2.1.0). To calculate the correlation between the replicates, the R/Bioconductor DESeq2 package (1.18.1) was used, quantifying the number of reads per gene in each condition and performing a principal component analysis (PCA). After verification of the high correlation between replicates, alignment files of the three replicates from each condition were merged using samtools. For the detection of crosslinking sites, PureCLIP (1.1.1) was used by using the -nim 4 parameter. 2572 binding sites were found for the control condition, 6760 for TGFβ4 h, and 4114 for TGFβ48 h. Once identified, the size of these binding sites was lengthened according to the center of the binding site +/−20 bp. These new 40 bp regions centered on the binding site were called binding regions and were used to identify binding motifs. Alignment files for each condition were filtered to obtain the reads that match the binding regions for each gene using bedtools intersect. Once the bam files were filtered, samtools idxstats was used to calculate the reads contained in each gene. Identification of miRNA binding motifs in the binding regions was performed as described [45]. First, we downloaded the mouse miRNA seeds from the miRNA database (http://www.mirbase.org/). These sequences were then processed, obtaining their complementary reverse and creating the “motif_file” using seq2profile.pl script from HOMER software [46]. To search for the representation of the miRNAs seeds in the binding regions identified by iCLIP, “motif_file” was transformed to the format accepted by the MEME suite using the script motif2meme.pl (https://gist.github.com/rtraborn/e395776b965398c54c4d). After this, the FIMO program (incorporated in MEME) [47] was executed with the default parameters to search for matches between the miRNAs seeds and the sequences included in the binding regions.
Western blot analysis
Protein was extracted with RIPA buffer supplemented with phosphatase and protease inhibitors (Roche, Indianapolis, IN, USA), and protein concentration was spectrophotometrically measured by Bradford assay kit (Bio-Rad) according to manufacturer’s protocol. Then, 30–40 µg of protein were resolved by SDS-PAGE and transferred to Immobilon®-P PVDF membrane (Merck Millipore, Billerica, MA, USA) according to standard protocols. Membranes were incubated with primary antibody overnight at 4 °C, then washed and incubated with horseradish peroxidase (HRP)-conjugated anti-rabbit IgG or anti-mouse IgG secondary antibodies (Amersham Biosciences) for 1 h at room temperature. Signals were detected with an ECL kit (GE Healthcare, Buckinghamshire, UK) and visualized and quantified using ChemiDoc MP Imaging system (Bio-Rad, Hercules, CA, USA). Protein levels were normalized by measuring total protein directly on the membrane using the criterion stain-free gel imaging system (Bio-Rad).
Protein identification using mass spectrometry
Proteins were in-gel digested as described [48]. Briefly, protein extracts from RelControl and Serpine1ATG* NMuMG cells were subjected to SDS-PAGE gel, and the whole proteome band was subjected to trypsin digestion upon entering the resolving gel. The resulting peptides were analyzed by nanoliquid chromatography coupled to mass spectrometry, using a Q-Exactive HF mass spectrometer (Thermo Fisher Scientific, Waltham, MA, USA), for protein identification and quantification by spectral counting [49]. Peptide identification from MS/MS data was performed using the probability ratio method [50]. False discovery rates (FDR) of peptide identifications were calculated using the refined method [51]; 1% FDR was used as criterion for peptide identification.
Immunofluorescence microscopy
Tissue sections were first fixed in 4% paraformaldehyde/phosphate-buffered saline (PBS) for 10 min before being permeabilized in 70% ethanol for 1 hour at room temperature. Next, the tissue sections were blocked with 3% BSA in PBS for 1 h and incubated with CD8A primary antibody (1:100) (Cell Signaling Technology, Danvers, MA, USA) at 4 °C overnight. The sections were washed with PBS and incubated with an appropriate fluorochrome-labeled secondary antibody (1:300) at room temperature for 1 h. Finally, the tissue sections were washed with PBS and mounted using ProLong Diamond Antifade Mountant (Invitrogen). Images were acquired in a THUNDER Imager 3D Tissue microscope from Leica microsystems with a 40x HC PL APO NA0.75 using a K5 Leica camera. Images shown were processed with the Small Volume Computational Cleaning Algorithm (SVCC).
RNA FISH
RNA-FISH followed the manufacturer’s instructions (Biosearch Technologies, Inc., Petaluma, CA). The custom SERPINE1 RNA-FISH probes consisted of 47 fluorescently Quasar 570-labeled probes complementary to different regions of the human SERPINE1 mRNA transcript. Each probe was 20 nucleotides in length (Supplementary Table S11). The tissue sections were fixed in 4% formaldehyde for 10 min at room temperature. They were washed twice in PBS and permeabilized in 70% ethanol for 1 hour at room temperature. The sections were washed with buffer A [10% (v/v) formamide in 1× wash buffer A; Biosearch Technologies, Hoddesdon, UK, catalog no. SMF-WA1-60] and incubated with hybridization buffer (Biosearch Technologies, catalog no. SMF-HB1-10) containing 125 nM RNA-FISH probes in the dark within a humidity chamber at 37 °C overnight. The sections were washed with buffer A, stained with DAPI, and washed with buffer B (Biosearch Technologies, catalog no. SMF-WB1-20). Coverslips were mounted on glass slides using Prolong Diamond Antifade Mountant (Invitrogen). Images were acquired as already described.
Proliferation, migration, and invasion assays
For growth curves, a real-time and label-free xCELLigence System (Roche) was used. For that, cells were harvested and transferred into 16-well E-plates, which contain electrodes integrated into the bottom surfaces of each well to measure cell index based on impedance. 8k, 4k, 2k, and 1k cells were added per well, and the program was set to take readings every 30 min for 95 h. Cell migration was measured using Culture- Inserts (IBIDI, Martinsried, Germany). The Culture-Inserts were transferred to six-well plates, where cells were seeded at a density of 7 ×104/mL in phenol red-free complete medium in each well. After 24 h of incubation, the Culture-Inserts were removed, and a 400 μm cell-free gap was created. Cell migration was observed with a Leica DMI6000 inverted microscope equipped with a Hamamatsu ORCA-ER camera using LEICA N PLAN 10×, /20× /0.25 objectives and recorded every 20 min for 23 h. Image processing was done using the Leica (LAS) and Adobe Photoshop software. Quantification of cell surface was performed using the multiwave length cell-scoring module of Metamorph Offline software and the WimScratch Wound Healing Module (WIMASIS, Munich, Germany) program. Invasion assays were performed using Transwell chambers (24 wells, 8 μM pore size; Cell Biolabs, San Diego, CA, USA) coated with a basement membrane. Subconfluent cells were serum-starved for 24 h. After detachment with trypsin, cells were washed with PBS, resuspended in serum-free medium, and 5 × 104 cells were added to the upper chamber. Complete medium was added to the bottom well of the chamber. The non-migrated cells were removed from the upper face of the filters using cotton swabs, and the migrated cells on the lower face of the filters were fixed with 3.7% formaldehyde, permeabilized with 100% methanol, and stained with 0.05% crystal violet. Images of random fields were captured from each membrane, and the number of invasive cells was counted. The mean of triplicate assays was used for each experimental condition.
Anoikis assay
Tissue culture dishes (35 mm) were coated with Poly-HEMA 12 mg/mL dissolved in 95% ethanol, allowed to dry under sterile conditions, and washed with PBS and once with DMEM before use. To induce anoikis, 3.5 × 105 cells resuspended in grown medium containing 0.5% methylcellulose (to avoid clumping of cells) were seeded onto poly-HEMA-coated tissue culture plates and incubated for 24 h at 37 °C. Cells were harvested, resuspended in PBS, fixed with ice-cold ethanol (70% final concentration), resuspended in 300 µL solution of 50 μg/mL propidium iodide and 250 μg/mL DNase-free RNase in PBS, and incubated for 30 min at 37 °C. Cells were evaluated using a FACSCalibur™ cytometer for flow cytometric analysis. Cell-cycle distribution and Sub-G1 fraction were determined and quantified using the CellQuest-Pro software.
Seahorse assay
XFe24 Extracellular Flux Analyzer (Agilent, Santa Clara, CA, USA) was used to determine glycolysis metabolism. For that, cells were plated in 24-well (1.5 × 104 cells/well) Seahorse Assay plates, grown in DMEM containing 10% fetal bovine serum, L-glutamine, antibiotics, and insulin (10 µg/mL) and incubated overnight at 37 °C in a 5% CO2 humidified, 95% air incubator. The sensor cartridge was hydrated by adding 500 µL of XF Calibrant Solution (Agilent) at 37 °C in a CO2-free incubator overnight. GlycoPER was determined using the Agilent Seahorse XF Glycolytic Rate Assay Kit (Agilent, Cat No: 1033344). Data were analyzed by the software Seahorse XFe (Agilent). All measurements were normalized with the total protein concentration on each well. Each assay was run with 6 replicates per each condition.
Clinical samples
Tumor and adjacent samples were collected from 20 patients who underwent primary surgery for colon adenocarcinoma in Virgen del Rocío Hospital (Sevilla, Spain). All patients included in the study had not received chemotherapy or radiotherapy before resection. The tumor and the adjacent normal tissue samples were embedded in optimal cutting temperature (OCT) compound. RNA quality was confirmed by Agilent bioanalyzer The Medical Ethics Committee of Virgen del Rocío Virgen Macarena Hospitals approved the study, and patients proffered written informed consent for research purposes and publication.
Statistical analysis
Data were analyzed by one-way ANOVA and Student’s t test comparison, using GraphPad Prism 5 (GraphPad Software, La Jolla, CA, USA). Significant p-values are indicated with asterisks as follows: *p < 0.05, **p < 0.01, and ***p < 0.001. The probabilities of overlapping genes were calculated using the Keisan Online Calculator’s hypergeometric distribution (https://keisan.casio.com/exec/system).
Data availability
NGS data are available at the NCBI Gene Expression Omnibus (GEO) under the accession number GSE221153 without restrictions. GSE221152 and GSE221076 correspond to accession numbers of iCLIP data and RNA-seq data respectively. Publicly available databases used in our analysis included TCGA Research Network (https://www.cancer.gov/tcga), Tumor Immune Estimation Resource (http://timer.cistrome.org/) and MiRbase (http://www.mirbase.org/).
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Acknowledgements
We wish to thank Dr. Olga Anczuków for providing the pWZL-Hygro-Tra2b plasmid. We are grateful to Dr. Abelardo López-Rivas and Dr. Laura Martínez-Muñoz for critical reading of the manuscript, and Dr. Mario Domínguez for technical support. This work was supported by grants from Ministerio de Ciencia e Innovación: PID2020-119732RB-I00 to JAP-T and PID2020-118516GB-I00 to JCR.
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JAP-T designed and supervised the study. SP-G, CR-M, BT, JK, EB-K, JV, and JAP-T performed the experiments. JAG-M, JCR, JK, SP-G, CR-M, and JAP-T contributed to the analysis and interpretation of the results. JP-T, JP-D, and FdlP were responsible for the clinical samples. JAP-T wrote the original draft and edited and revised the manuscript.
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Polo-Generelo, S., Rodríguez-Mateo, C., Torres, B. et al. Serpine1 mRNA confers mesenchymal characteristics to the cell and promotes CD8+ T cells exclusion from colon adenocarcinomas. Cell Death Discov. 10, 116 (2024). https://doi.org/10.1038/s41420-024-01886-8
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DOI: https://doi.org/10.1038/s41420-024-01886-8